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Cures Act

Tenacity pays off in 10 states, and counting

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Monday, March 19, 2018
Laura Williard
vice president of payer relations, AAHomecare

In December 2016, Congress passed wide-ranging healthcare legislation popularly known as the Cures bill that expedited the implementation of a requirement that the federal portion of Medicaid reimbursement to states for HME cannot exceed what Medicare would have allowed for these items, in aggreg

In brief: Sign-on letter calls for ‘immediate action,’ Georgia Medicaid reverses course

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03/02/2018

WASHINGTON – More than 50 lawmakers signed on to a letter spearheaded by Cathy McMorris Rodgers, R-Wash., that calls on lawmakers to include H.R. 4229 in upcoming legislation to keep the government funded.

Cures update: Georgia Medicaid reverses course

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03/01/2018

ATLANTA – HME industry stakeholders have succeeded in steering Georgia away from basing its Medicaid reimbursement on competitive bidding-based Medicare reimbursement, AAHomecare reported this week.

CMS updates code list for Cures provision

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02/20/2018

WASHINGTON – AAHomecare has received an updated list of HCPCS codes that are affected by a provision in the 21st Century Cures Act that requires the federal government to limit its portion of Medicaid reimbursement to Medicare reimbursement.

CMS eases pressure on states, AAH says

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01/05/2018

WASHINGTON – CMS has given state Medicaid directors more “open-ended guidance” for complying with a provision in the 21st Century Cures Act, AAHomecare reported Jan. 5.

CMS starts implementation process for Cures provision

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11/28/2017

WASHINGTON – CMS wants state Medicaid programs to submit their DME fee schedules using a new spreadsheet to make sure they’re not paying too much for equipment, according to a notice in the Federal Register.

Tricare will make payment adjustments

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07/07/2017

WASHINGTON – Tricare, the healthcare program for uniformed services members and their families, will also adjust payments from June through December 2016 per a provision in the 21st Century Cures Act, according to AAHomecare.

CGS begins payment adjustments

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05/10/2017

WASHINGTON – CGS will begin adjusting tens of thousands of claims from non-competitive bidding areas each day for about the next 24 weeks, the DME MAC for Jurisdictions B and C announced May 8.

CMS does ‘whatever it wants,’ say frustrated stakeholders

Adjusted fee schedule not what Congress intended, they say
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05/05/2017

WASHINGTON – While there is “no question” that Congress intended for CMS to reset rural and non-bid area rates for the second half of 2016 to match those of the first half of the year, the agency’s decision not to was, technically, legal, say industry stakeholders.

CMS updates fee schedule, AAH pledges to push back

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05/03/2017

WASHINGTON – CMS has delivered “a slap in the face” to the HME industry with its updated fee schedule for rural and non-competitive bidding areas, AAHomecare says.

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